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NPI Code Detail

MEDICARE: ANGELA SPRANG MOT, OTR/L

MEDICARE: ANGELA SPRANG MOT, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1770982456
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA SPRANG MOT, OTR/L
Provider Business Mailing Address
First Line : 727 EISENHOWER DR
Second Line :
City : FOSTORIA
State : OH
Zip : 44830-4701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 928 W MARKET ST STE A
Second Line :
City : TIFFIN
State : OH
Zip : 44883-2529
Country : US
Telephone Number : 419-447-2927
Fax Number : 419-447-2825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2014
Last Update Date : 08/19/2014

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Directions to “ ANGELA SPRANG MOT, OTR/L” Practice Location

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